2019 LSCDS Mentorship Program: Mentor Application
Thank you for your interest in the LSCDS Mentorship Program. Please fill out this brief mentor application form which will be used to pair you up with a mentee in the upcoming mentorship cycle. You will receive a submission receipt email if your form was successful submitted. Thank you again for your interest!
Personal Information
First Name: *
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Last Name: *
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Email: *
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Educational Background: *
Please include highest level of education achieved (i.e Masters in Public Health)
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Current Position Title: *
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Company: *
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Personal Profile
Please provide us with a brief introduction of yourself in order for allow us to better get to know you and match you with a suitable mentee. In this blurb, we suggest that you include the following information (in paragraph for, max 200 words):
1. Current job description: position and company.
2. Education: educational background, such as program of study, graduate thesis topic, and/or college training programs.
3. Previous work experience
4. Hobbies: what you enjoy doing outside of work in your free time.
*
Your answer
Mentorship Preferences
What careers/fields would you be comfortable providing information about/advising on to mentee about? *
Please select all that apply.
Required
What mentorship goals can you help mentees with? *
Select all that apply.
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Please indicate your time commitment to the six-month program: *
Please select all that apply.
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What is your preferred communication medium with potential mentee: *
Please select all the communication options you are comfortable with.
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Please upload either your resume or paste your LinkedIn URL to further assist us in matching with the suitable mentee.
To upload files, please use this link: https://goo.gl/IXP9fp
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Additional comments/requests
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